www.revolutionehr.com Open in urlscan Pro
35.196.122.255 Public Scan

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Submitted URL:
http://revolutionehr.com/
Effective URL:
https://www.revolutionehr.com/
Submission: On March 06 via api (March 6th 2024, 8:33:36 pm UTC) from US — Scanned from DE

Form analysis
1 forms found in the DOM

POST https://forms.hsforms.com/submissions/v3/public/submit/formsnext/multipart/4915236/9bba8241-cb9f-4262-9676-fdca8cb747c1

<form id="hsForm_9bba8241-cb9f-4262-9676-fdca8cb747c1" method="POST" accept-charset="UTF-8" enctype="multipart/form-data" novalidate=""
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        Name</span><span class="hs-form-required">*</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input id="lastname-9bba8241-cb9f-4262-9676-fdca8cb747c1" name="lastname" required="" placeholder="Last Name" type="text" class="hs-input" inputmode="text" autocomplete="family-name" value=""></div>
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        class="hs-form-required">*</span></label>
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    <legend class="hs-field-desc" style="display: none;"></legend>
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        number</span><span class="hs-form-required">*</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input id="phone-9bba8241-cb9f-4262-9676-fdca8cb747c1" name="phone" required="" placeholder="Phone Number" type="tel" class="hs-input" inputmode="tel" autocomplete="tel" value=""></div>
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      for="state_dropdown-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>State/Province</span><span class="hs-form-required">*</span></label>
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        <option value="AL">AL</option>
        <option value="AK">AK</option>
        <option value="AR">AR</option>
        <option value="AZ">AZ</option>
        <option value="CA">CA</option>
        <option value="CO">CO</option>
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        <option value="ME">ME</option>
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        <option value="MN">MN</option>
        <option value="MO">MO</option>
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        <option value="ND">ND</option>
        <option value="NE">NE</option>
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        <option value="NM">NM</option>
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        <option value="PA">PA</option>
        <option value="PR">PR</option>
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        <option value="SC">SC</option>
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        <option value="UT">UT</option>
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        <option value="VT">VT</option>
        <option value="WA">WA</option>
        <option value="WI">WI</option>
        <option value="WV">WV</option>
        <option value="WY">WY</option>
        <option value="AB">AB</option>
        <option value="BC">BC</option>
        <option value="MB">MB</option>
        <option value="NB">NB</option>
        <option value="NL">NL</option>
        <option value="NT">NT</option>
        <option value="NS">NS</option>
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        <option value="ON">ON</option>
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        <option value="QC">QC</option>
        <option value="SK">SK</option>
        <option value="YT">YT</option>
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  <div class="hs_job_title_dropdown hs-job_title_dropdown hs-fieldtype-select field hs-form-field" style="display: none;"><label id="label-job_title_dropdown-9bba8241-cb9f-4262-9676-fdca8cb747c1" class=""
      placeholder="Enter your What best describes your role?" for="job_title_dropdown-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>What best describes your role?</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="job_title_dropdown" class="hs-input" type="hidden" value=""></div>
  </div>
  <div class="hs_current_pms__c hs-current_pms__c hs-fieldtype-select field hs-form-field" style="display: none;"><label id="label-current_pms__c-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your Current System"
      for="current_pms__c-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>Current System</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="current_pms__c" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_ip_location hs-ip_location hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-ip_location-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your IP Location"
      for="ip_location-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>IP Location</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="ip_location" class="hs-input" type="hidden" value="Seminole, TX"></div>
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  <div class="hs_rev360id hs-rev360id hs-fieldtype-number field hs-form-field" style="display: none;"><label id="label-rev360id-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your Rev360 User ID"
      for="rev360id-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>Rev360 User ID</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="rev360id" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_submitter_name hs-submitter_name hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-submitter_name-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your Submitter Name"
      for="submitter_name-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>Submitter Name</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="submitter_name" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_address hs-address hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-address-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your Street address"
      for="address-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>Street address</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="address" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_lead_type__c hs-lead_type__c hs-fieldtype-select field hs-form-field" style="display: none;"><label id="label-lead_type__c-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your Lead Type"
      for="lead_type__c-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>Lead Type</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="lead_type__c" class="hs-input" type="hidden" value="Subscriber"></div>
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      for="utm_campaign-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>utm_campaign</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="utm_campaign" class="hs-input" type="hidden" value=""></div>
  </div>
  <div class="hs_utm_content hs-utm_content hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-utm_content-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your utm_content"
      for="utm_content-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>utm_content</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="utm_content" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_utm_medium hs-utm_medium hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-utm_medium-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your utm_medium"
      for="utm_medium-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>utm_medium</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="utm_medium" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_utm_source hs-utm_source hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-utm_source-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your utm_source"
      for="utm_source-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>utm_source</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="utm_source" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_utm_term hs-utm_term hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-utm_term-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your utm_term"
      for="utm_term-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>utm_term</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="utm_term" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_fbclid hs-fbclid hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-fbclid-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your fbclid"
      for="fbclid-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>fbclid</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="fbclid" class="hs-input" type="hidden" value=""></div>
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    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="gaclientid" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_gclid hs-gclid hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-gclid-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your gclid"
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    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="gclid" class="hs-input" type="hidden" value=""></div>
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  <div class="hs_msclkid hs-msclkid hs-fieldtype-text field hs-form-field" style="display: none;"><label id="label-msclkid-9bba8241-cb9f-4262-9676-fdca8cb747c1" class="" placeholder="Enter your msclkid"
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    <legend class="hs-field-desc" style="display: none;"></legend>
    <div class="input"><input name="msclkid" class="hs-input" type="hidden" value=""></div>
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      for="rating-9bba8241-cb9f-4262-9676-fdca8cb747c1"><span>Rating</span></label>
    <legend class="hs-field-desc" style="display: none;"></legend>
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        <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
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    </div><input type="hidden" name="g-recaptcha-response" id="hs-recaptcha-response" value="">
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  <div class="hs_submit hs-submit">
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Freedom to Focus Learn More The Simplicity of ONE Learn More Anytime, Anywhere
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CLOUD-BASED EHR SOFTWARE FOR YOUR OPTOMETRY PRACTICE

RevolutionEHR is the leading cloud-based EHR and Practice Management software
for Optometry. RevolutionEHR simplifies the work in your practice, freeing you
to focus more time on your passion – caring for your patients.

SEE OUR OPTOMETRY SOFTWARE



WE’VE GOT YOU COVERED. LARGE OR SMALL, LEARN HOW REVOLUTIONEHR FITS ANY
OPTOMETRY PRACTICE.

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> “
> It’s easy to use, and the customer service is phenomenal. RevEHR stays on top
> of CMS guidelines and changes. I love everything about it.
> Ryan Cazares, OD

WANT TO SEE WHAT OUR
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ABOUT US

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